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Does Amiodarone Raise Or Lower Your INR?

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Posted on Wed, 24 Apr 2024
Question: Does Admideronr raise lower your INR? and how is the best way to bring it to 2-3 from 4-6?.
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Answered by Dr. Panagiotis Zografakis (25 minutes later)
Brief Answer:
amiodarone may raise the INR

Detailed Answer:
Hello,

amiodarone does not directly raise the INR but it interacts with warfarin metabolism and raises the INR indirectly. If a patient takes both warfarin and amiodarone, then amiodarone decreases the rate of warfarin's inactivation, therefore allowing it to remain active for longer. Patients on warfarin who start amiodarone need to check their INR closely until it stabilizes.

If a patient's INR is higher than the target levels but not high enough to warrant urgent treatment and the patient is not bleeding then skipping doses or lowering the next dose is the way to go. The patient's doctor should guide the patient as to how many doses have to be skipped because different patients may have different warfarin requirements.

I hope it helps!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (8 days later)
Hi, I have provided some attachments. Please review them.
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Answered by Dr. Panagiotis Zografakis (47 minutes later)
Brief Answer:
can't see any attachments

Detailed Answer:
Hello,

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Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3810 Questions

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Does Amiodarone Raise Or Lower Your INR?

Brief Answer: amiodarone may raise the INR Detailed Answer: Hello, amiodarone does not directly raise the INR but it interacts with warfarin metabolism and raises the INR indirectly. If a patient takes both warfarin and amiodarone, then amiodarone decreases the rate of warfarin's inactivation, therefore allowing it to remain active for longer. Patients on warfarin who start amiodarone need to check their INR closely until it stabilizes. If a patient's INR is higher than the target levels but not high enough to warrant urgent treatment and the patient is not bleeding then skipping doses or lowering the next dose is the way to go. The patient's doctor should guide the patient as to how many doses have to be skipped because different patients may have different warfarin requirements. I hope it helps! Kind Regards!